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Joined 2 years ago
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Cake day: June 20th, 2023

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  • This is one of the benefits of being on non-stimulant meds, the hoops to jump through are way less (I still had to fight insurance for a prior auth, which took nearly a month). I use an online Psychiatrist (Talkiatry) and have been really happy with my doctor. I also only need to see him as often as we think is medically necessary since atamoxetine can be refilled. It’s been shown in trials to be as effective as methylphenidate and works well for me so far.

    The diagnostic piece though is indeed hard, but I can sort of understand that. It’s a pathway to drugs with a high probability of abuse, and no sure fire way to diagnose. So from a liability and care viewpoint I get why psychologists do due diligence in evaluating people (especially adults) for ADHD. It still sucks if you need help, but in theory you only have to deal with that process once to get a diagnosis. Also, as many people have pointed out, many PCPs are willing to fill scripts for controlled substances if needed, especially once you are on a stable dose that you know works. Like many things, the start up is the hardest and it gets easier once you hit steady state.




  • Agree 100%. Most of the former Plex users turned Jellyfin users I have come across did so better Plex was broken in some way for them. For me it was the general lack of care in creating/maintaining a good Apple TV app. Over the past few years it’s just gotten buggier and buggier with a lot of complaints on the Plex forums where devs would essentially stop by to say they weren’t working on any fixes.

    Jellyfin doesn’t fix 100% of the issues, but at least there is active development on Swiftfin that showed a desire to fully support all devices.


  • Honestly, the majority of key points to talk about can be found online from respectable sources (for example, this article from Johns Hopkins, though there are many others). There is a better than even chance he has shady looked up the “Is this normal” stuff himself if he has normal internet access.

    From a social standpoint it’s going to be different for everyone, teenage years are hard and kids are often cruel. I’d advise to just be there for him on this front, but don’t be pushy. He is going to be moody, lash out sometimes, and act differently. That is all normal. He is going to want to push boundaries and get in trouble (rather do things that will get him in trouble, most folks don’t actually want to get in trouble). Give him safe room to explore who he is and to try new things without letting him fall down too hard.

    Lastly, you say there are no trusted male figures in your life, but that doesn’t have to be family. Good friends can also fill that space. I have to imagine there is some guy in your life that could have heart to heart, even just with you to then talk to your son. It’s worth trying to broaden your expectation of what a trusted male figure is perhaps.





  • Luckily we have a garage that’s perfectly sized to get the car on ramps and close the door. I still lay on cardboard since the concrete is cold (and to catch the errant drip). When we lived in an apartment in the city I’d usually bite the bullet and take it somewhere since we couldn’t do any car work in the parking lot. In the past I’d take it to a buddies house but then moved a few hours away so that wasn’t a choice until e bought a house a few years ago.






  • I think this is a huge part of it but there is certainly a lot of nuance here. We have a phenomenally funded, equipped, and trained military, but in the last 20 years it’s been shown to be only moderately effective at addressing the threats in the world that have a small fraction of the resources our military does with few exceptions (naval might is probably the largest of those exceptions). So even problems we think we should be able to solve we barely can.

    There is also large and growing wealth disparity which drives the tribalism deeper and makes many folks dig their heels in to positions that just aren’t based in reality (see anti-vaccine and lockdown sentiment around COVID as but one example). Couple this with the majority of Americans being truly terminally online and being stuck in echo chambers that just further ingrain the basis they hold and it causes a lot of vocal Americans online to lash out irrationally.

    I would like to offer OP a view that we aren’t all like this though. For many of us our incoming government, the corrupt people they are tagging to lead our various institutions, the incomprehensibly rich heads of various companies, and the brainwashed cults that worship them all are sources of deep shame. I can only speak for myself, but my friends, close coworkers, and even a few of my family all feel this way. Please don’t write off all Americans because of the loud, obnoxious jerks you have to see in many places, some of us are pretty decent people that really want to make the world a better place and help everyone we can.


  • I use Backblaze B2 through my Synology NAS to offsite my important data. Most things though I just backup locally and accept the risk of needing to rebuild certain things (like most of my movie/TV media files since I can just re-rip my physical media, and the storage costs are not worth the couple of days of time in that unlikely case).

    I really think this is key when thinking about your backup strategy that is specific to self hosting compared to enterprise operations. The costs come out of our pockets with no revenue to back it up. Managing backups for self hosting IMO is just as much about understanding your risk appetite and then choosing a strategy to match that. For example I keep just single copy in B2, since the failure mode I’m looking to protect against is catastrophic failure of my NAS which holds my main backups and media. I then use Proton Drive and OneDrive to backup secrets for my 2FA setups and encryption for my B2 bucket. This isn’t how I would do it at work (we have a fair more robust, but much more expensive setup). But my costs for B2 are around $15/mo which I am fine with. When I tried keeping multiple copies it had grown to over $50/mo before I cared enough to really rethink things (the cost of the hobby I told myself).


  • WxFisch@lemmy.worldtoADHD@lemmy.worldGetting my ADHD (?) diagnosed
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    3 months ago

    I’m in the US, I found a local psychologist’s office that does adult evaluations. It was a virtual intake, a bunch of questionaries for me and my wife, about an hour of in person testing, then a virtual feedback appointment to go over my diagnosis, answer questions, and discuss options. I actually never got a bill for this but have followed up since I’m pretty sure that was an error. I expect it to be about $1500 with insurance coverage for the three appointments. The whole process took about two weeks, from my first appointment, but they book three to six months out usually.

    I then had to find a psychiatrist to ask about meds. I use talkiatry which is an online practice and have been happy with my doctor so far. Each appointment is about $200 under my high deductible health plan. It took about a month to get an appointment.

    I am on 60mg atomoxetine right now. The sticker price is around $330 a month but with GoodRX it’s about $25. I need a prior authorization through my insurance to get it covered which I’m fighting through now but the price is a few bucks less through them (and more consistent, GoodRX prices can swing a lot month to month). Unlike stimulates, atomoxetine takes about a month to start really taking effect, and I’ve stepped up my dosage once so far with maybe one more in 4ish weeks.

    Even at $300-$400 a month with appointments and medications it is life changing worth it. I have moderate combined type and have generally been successful but knowing now this is how I could have been for years is frustrating to a degree but now is better than later for sure.

    Timeline wise I made my first appointment for a diagnosis evaluation in early august and got a prescription the day before thanksgiving. From my understanding that’s on the quicker side of things.





  • I was just talking to my wife about this today. I started taking atomoxetine about a month ago. It isn’t instant the same way stimulants are so it’s been a steady, gradual change, but when I compare me today to me 3 months ago it honestly makes me want to cry. I made a doctors appointment today that I’ve been putting off for something the two years (it’s not something I really wanted to do and required I call to schedule it). But I stopped the video I was watching, made the call, and am going in about a week. I can clean up after a project now, I have the ability to just go do a task that needs done when it needs done. When it looked like I would not be able to get meds for a week or so I just couldn’t imagine going back to how I was before, I just refuse. I’m happier, more productive, and my marriage is better as we argue less over me not doing what she asked me to do because I forgot again. My push now is for my wife to schedule an evaluation since she is pretty sure she has inattentive type. I’m hoping seeing me be happier will help push her.